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Dealing with Difference: Using the Osteobiographies of a Woman with Leprosy and a Woman with Gigantism from Medieval Poland to Identify Practices of Care

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New Developments in the Bioarchaeology of Care

Abstract

This chapter uses the osteobiographies of two women from different sites in medieval Poland (Kałdus, twelfth to the first half of the thirteenth century and Ostrów Lednicki, the end of the twelfth and the beginning of the fourteenth century), in combination with analysis of mortuary practice, to consider individual experiences of pathology and possible receipt of care. The first individual described in this study is a female recovered from the Kałdus site, who displays pathological lesions indicating an advanced stage of (possibly lepromatous) leprosy. The location of her grave and the associated grave goods suggest that this individual, despite disfiguring disease, received mortuary treatment associated with those of a higher social status. The second individual is a ‘giant’ probably woman with an estimated stature of 215.5 cm, whose skeleton was discovered in the cemetery on the Ostrów Lednicki island. Osteomas of femur, extensive degenerative joint disease, probably healed fracture of the tibia and Harris’ lines were identified on her skeleton. Her remains did not receive a standard burial, but rather appear to have been deposited without care, which may suggest she was perceived as ‘different’ in death and may have been subject to different treatment by her community during her lifetime. The Index of Care (Tilley and Cameron, International Journal of Paleopathology 6:5–9, 2014) is employed in assessing the likely impacts of disease and associated care requirements for these two very distinctive women, and the conclusions drawn from this process, combined with those of the respective mortuary analyses, form the basis for developing a deeper understanding of these subjects’ contrasting social identities.

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References

  • Almalki, M. H., Chesover, A. D., Johnson, M. D., Wilkins, G. E., Maguire, J. A., & Ur, E. (2012). Characterization of management and outcomes of patients with acromegaly in Vancouver over 30 years. Clinical and Investigative Medicine, 35(1), 27–33.

    Google Scholar 

  • Anagnostis, P., Efstathiadou, Z. A., Charizopoulou, M., Selalmatzidou, D., Karathanasi, E., Poulasouchidou, M., et al. (2014). Psychological profile and quality of life in patients with acromegaly in Greece. Is there any difference with other chronic diseases? Endocrine, 47, 564–571.

    Article  Google Scholar 

  • Aufderheide, A. C., & Rodríguez-Martín, C. (2006). The Cambridge encyclopedia of human paleopathology. Cambridge: Cambridge University Press.

    Google Scholar 

  • Baker, B. J., & Bolhofner, K. L. (2014). Biological and social implications of a medieval burial from Cyprus for understanding the leprosy in the past. International Journal of Paleopathology, 4, 17–24.

    Article  Google Scholar 

  • Barnes, C., & Mercer, G. (2010). Exploring disability. A sociological introduction. Cambridge: Polity Press.

    Google Scholar 

  • Bartelink, E. J., Willits, N. A., & Chelotti, K. L. (2014). A probable case of acromegaly from the Windmiller culture of prehistoric Central California. International Journal of Paleopathology, 4, 37–46.

    Article  Google Scholar 

  • Betsinger, T. K., & Scott, A. B. (2014). Governing from the grave: Vampire burials and social order in post-medieval Poland. Cambridge Archaeological Journal, 24(3), 467–476.

    Article  Google Scholar 

  • Birla, S., Aggarwal, S., Sharma, A., & Tandon, N. (2014). Rare association of acromegaly with left atrial myxoma in Carney’s complex due to novel PRKAR1A mutation. Endocrinology, Diabetes & Metabolism Case Reports, 2014, 140023. doi:10.1530/EDM-14-0023.

    Google Scholar 

  • Bobrov, A., Starostina, E., Dreval, A., & Alexandrova M. (2014). Psychopathology in patients with acromegaly. The Journal of the European Psychiatric Association 29.

    Google Scholar 

  • Bojarski, J., Chudziak, W., Drozd, A., Koperkiewicz, A., Kozłowski, T., & Stawska, V. (2010). Katalog źródeł. In W. Chudziak (Ed.), Wczesnośredniowieczne cmentarzysko szkieletowe w Kałdusie (stanowisko 4) (Mons Sancti Laurentii 5, pp. 437–603). Toruń: Wydawnictwo Naukowe UMK.

    Google Scholar 

  • Brown, S. E. “How to speed fracture healing” (PDF). Center for better bones. Retrieved December 27, 2015, from www.betterbones.com .

  • Budnik, A., & Ortarzewska, K. (2010). Spina bifida occulta a asymetria fluktuująca w średniowiecznej populacji z mikroregionu Ostrowa Lednickiego. In T. Kozłowski & A. Drozd (Eds.), Biokulturowe uwarunkowania stanu zdrowia populacji ludzkich w okresie średniowiecza (pp. 17–22). Wrocław: Wydawnictwo DN.

    Google Scholar 

  • Burszta, J. (1987). Kultura ludowa. In Z. Staszczak (Ed.), Słownik etnologiczny. Terminy ogólne (pp. 195–198). Warszawa, Poznań: Państwowe Wydawnictwo Naukowe.

    Google Scholar 

  • Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L., Jr., et al. (2003). Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension, 42(6), 1206–1252.

    Article  Google Scholar 

  • Chudziak, W. (2003). Wczesnośredniowieczna przestrzeń sakralna in Culmine na Pomorzu Nadwiślańskim (Mons Sancti Laurentii 1). Toruń: Wydawnictwo Uniwersytetu Mikołaja Kopernika.

    Google Scholar 

  • Chudziak, W. (Ed.). (2006). Wczesnośredniowieczne cmentarzysko szkieletowe w Kałdusie (stanowisko 1) (Mons Sancti Laurentii 3). Toruń: Wydawnictwo Naukowe UMK.

    Google Scholar 

  • Chudziak, W. (Ed.). (2010). Wczesnośredniowieczne cmentarzysko szkieletowe w Kałdusie (stanowisko 4) (Mons Sancti Laurentii 5). Toruń: Wydawnictwo Naukowe UMK.

    Google Scholar 

  • Chudziak, W., Stawska, V., Weinkauf, J., & Kozłowski, T. (2006). Katalog. Część II. Badania Instytutu Archeologii i Etnologii UMK w Toruniu w latach 1997–1999. In W. Chudziak (Ed.), Wczesnośredniowieczne cmentarzysko szkieletowe w Kałdusie (stanowisko 1) (Mons Sancti Laurentii 3, pp. 345–388). Toruń: Wydawnictwo Naukowe UMK.

    Google Scholar 

  • Cross, M. (1999). Accessing the inaccessible: Disability and archaeology. Archaeological Review from Cambridge, 15(2), 7–30.

    Google Scholar 

  • Data Collection Codebook (2006). R. H. Steckel, C. S. Larsen, P. W. Sciulli, & P. L. Walker (Eds.). The global history of health project. Retrieved August 13, 2015, from http://global.sbs.ohio-state.edu/docs/Codebook-12-12-05.pdf.

  • Dutta, P., Hajela, A., Pathak, A., Bhansali, A., Radotra, B. D., Vashishta, R. K., et al. (2015). Clinical profile and outcome of patients with acromegaly according to the 2014 consensus guidelines: Impact of a multi-disciplinary team. Neurology India, 63(3), 360–368.

    Article  Google Scholar 

  • Finlay, N. (1999). Disability and Archaeology. Archaeological Review from Cambridge, 15(2), 1–6.

    Google Scholar 

  • Gładykowska-Rzeczycka, J. J. (1981). A short review of paleopathological research in Poland. HOMO, 32, 125–130.

    Google Scholar 

  • Gładykowska-Rzeczycka, J. J. (1982). Schorzenia swoiste ludności z dawnych cmentarzysk Polski. Przegląd Antropologiczny, 48, 39–55.

    Google Scholar 

  • Gładykowska-Rzeczycka, J. J., Śmiszkiewicz-Skwarska, A., & Sokół, A. (1998). A Giant from Ostrów Lednicki (XII-XIIIc), Dist. Lednogóra, Poland. The Mankind Quarterly, 39(2), 147–172.

    Google Scholar 

  • Gładykowska-Rzeczycka, J. J., Smoczyński, M., Dubowik, M., & Mechlińska, J. (2001). Rare developmental disorder of the sound-conducting system of the skeleton from an early medieval cemetery in Poland. Endoscoping and CT findings. The Mankind Quarterly, 42(1), 3–16.

    Google Scholar 

  • Gładykowska-Rzeczycka, J. J., Wrzesińska, A., & Sokół, A. (2000). Morfologiczne i radiologiczne badanie szkieletu olbrzymki z wczesnośredniowiecznego cmentarzyska na Ostrowiu Lednickim. Studia Lednickie, 6, 239–276.

    Google Scholar 

  • Górecki, J. (1991). Preromańskie pochówki panujących dostojników w tzw. II kościele na Ostrowie Lednickim. Studia Lednickie, 2, 117–132.

    Google Scholar 

  • Górecki, J. (1996). Nekropola tzw. II kościoła na Ostrowie Lednickim. Studia Lednickie, 4, 137–156.

    Google Scholar 

  • Haftka, A. (2007). Wczesnośredniowieczne cmentarzysko szkieletowe w Kałdusie. Stanowisko 2, M.A. thesis, Nicolaus Copernicus University in Toruń.

    Google Scholar 

  • Hawkey, D. (1998). Disability, compassion and the skeletal record: using musculoskeletal stress markers (MSM) to construct an osteobiography from Early New Mexico. International Journal of Osteoarchaeology, 8, 326–340.

    Article  Google Scholar 

  • Hong, A. R., Kim, J. H., Kim, S. W., Kim, S. Y., & Shin, C. S. (2016). Trabecular bone score as a skeletal fragility index in acromegaly patients. Osteoporosis International, 27(3), 1123–1129.

    Article  Google Scholar 

  • Horstmanshoff, M. (2012). Disability and rehabilitation in the Graeco-Roman world. In R. Breitwieser (Ed.) Behinderungen und Beeinträchtigungen/disability and impairment in antiquity. BAR International Series. Studies in Early Medicine 2 (pp. 1–9). Oxford: British Archaeological Reports.

    Google Scholar 

  • Hubert, J. (2000). Introduction: The complexity of boundedness and exclusion. In J. Hubert (Ed.), Madness, disability and social exclusion. The archaeology and anthropology of “difference” (pp. 1–8). London: Routledge.

    Google Scholar 

  • Iuliano, S. L., & Laws, E. R., Jr. (2014). Recognizing the clinical manifestations of acromegaly: Case studies. Journal of the American Association of Nurse Practitioners, 26(3), 136–142. doi:10.1002/2327-6924.12076.

    Article  Google Scholar 

  • Jones, T. E. (2012). “A lame man can ride… a deaf man can kill… a dead man is of no use to anyone”. When was a deformity not a disability in Early Medieval Europe? In R. Breitwieser (Ed.) Behinderungen und Beeinträchtigungen/disability and impairment in antiquity. BAR International Series. Studies in Early Medicine 2 (pp. 131–135). Oxford: British Archaeological Reports.

    Google Scholar 

  • Kesser, B. W., Krook, K., & Gray, L. C. (2013). Impact of unilateral conductive hearing loss due to aural atresia on academic performance in children. The Laryngoscope, 123(9), 2270–2275.

    Article  Google Scholar 

  • Knüsel, C. J. (1999). Ortopaedic disability: Some hard evidence. Archaeological Review from Cambridge, 15(2), 31–53.

    Google Scholar 

  • Knüsel Ch, J., Batt, C. M., Cook, G., Montgomery, J., Müldner, G., Ogden, A. R., et al. (2010). The identity of St Bees Lady, Cumbria: An osteobiographical approach. Medieval Archaeology, 54, 271–311.

    Article  Google Scholar 

  • Kolberg, O. (1867). Dzieła Wszystkie 1, Kujawy, Warszawa.

    Google Scholar 

  • Kolberg, O. (1882). Dzieła Wszystkie 15, Wielkie Księstwo Poznańskie.

    Google Scholar 

  • Kozłowski, T. (2012). Stan biologiczny i warunki życia ludności in Culmine na Pomorzu Nadwiślańskim (X-XIII wiek): studium antropologiczne (Mons Sancti Laurentii 7). Wydawnictwo Naukowe UMK: Toruń.

    Google Scholar 

  • Kozłowski, T., & Drozd, A. (2009). Ludzkie szczątki kostne z krypty północnej w prezbiterium kościoła katedralnego w Kwidzynie w świetle badań antropologicznych i paleopatologicznych. In M. Grupa & T. Kozłowski (Eds.), Katedra w Kwidzynie—tajemnica krypt (pp. 43–67). Kwidzyń: Kwidzyńskie Centrum Kultury.

    Google Scholar 

  • Kudlick, J. C. (2003). Disability history: Why we need another “other”. The American Historical Review, 108(3), 763–793.

    Article  Google Scholar 

  • Kurnatowska, Z. (1991). Z badań nad przemianami organizacji terytorialnej w państwie pierwszych Piastów. Studia Lednickie, 2, 11–22.

    Google Scholar 

  • Łęga, W. (1961). Ziemia chełmińska. Wrocław: Polskie Towarzystwo Ludoznawcze.

    Google Scholar 

  • Leivseth, G., Frobin, W., & Brinckmann, P. (2005). Congenital cervical block vertebrae are associated with caudally adjacent discs. Clinical Biomechanics, 20, 669–674.

    Article  Google Scholar 

  • Leone, M. P. (2005). The archaeology of liberty in an american capital: Excavations in Annapolis. Berkeley: University of California Press.

    Book  Google Scholar 

  • Longmore, M., Wilkinson, I. B., & Rajagopalan, S. R. (2004). Oxford handbook of clinical medicine. Oxford: Oxford University Press.

    Google Scholar 

  • Makohonienko, M. (2000). Analiza palinologiczna zawartości ziemi z misy brązowej z wczesnośredniowiecznego cmentarzyska w Dziekanowicach, stanowisko 22. Studia Lednickie, 6, 207–212.

    Google Scholar 

  • Makohonienko, M., Wrzesińska, A., & Wrzesiński, J. (1998). Analiza palinologiczna wypełniska jam grobowych. Studia Lednickie, 5, 95–102.

    Google Scholar 

  • Makowiecki, D. (2010). Wczesnośredniowieczna gospodarka zwierzętami i socjotopografia in Cumine na Pomorzu Nadwiślańskim. Toruń: Wydawnictwo UMK.

    Google Scholar 

  • Malik, A. N., Morris, R. W., & Ffytche, T. J. (2011). The prevalence of ocular complications in leprosy patients seen in the United Kingdom over a period of 21 years. Eye, 25(6), 740–745.

    Article  Google Scholar 

  • Malinowski, A. (2008). Medyczno-antropologiczne aspekty Lednickiego Parku Krajobrazowego i Muzeum Pierwszych Piastów na Lednicy. Homines Hominibus, 1(4), 25–32.

    Google Scholar 

  • Marks, R. (2011). Physical activity and hip fracture disability: A review. Journal of Aging Research, 2011, 741918. doi:10.4061/2011/741918.

    Article  Google Scholar 

  • Martin, R., & Saller, S. (1957). Lerbuch für Anthropologie. Stuttgart: Gustav Fischer.

    Google Scholar 

  • Matczak, M. D. (2014). Tak zwane pochówki antywampiryczne a zagadnienie zmian patologicznych. Próba reinterpretacji. In W. Dzieduszycki, & J. Wrzesiński (Eds.) Królowie i biskupi, rycerze i chłopi – identyfikacja zmarłych. Funeralia Lednickie 16 (pp. 437–457). Poznań: SNAP.

    Google Scholar 

  • Matczak, M. D. (2015). The Ill, the disabled in early medieval Culmine. The archaeological and anthropological perspective, PhD dissertation, Adam Mickiewicz University (in Polish).

    Google Scholar 

  • Miśkiewicz, M. (1969). Wczesnośredniowieczny obrządek pogrzebowy na płaskich cmentarzyskach szkieletowych w Polsce. Materiały Wczesnośredniowieczne, 6, 241–301.

    Google Scholar 

  • Molleson, T. (1999). Archaeological evidence of attitudes to disability in the past. Archaeological Review from Cambridge, 15(2), 69–77.

    Google Scholar 

  • Moszyński, K. (1967). Kultura ludowa Słowian (Vol. 2(1)). Warszawa: Książka i Wiedza.

    Google Scholar 

  • Nerlich, A. G., Zink, A., Szeimies, U., & Hageodorn, H. G. (2000). Ancient Egyptian Prothesis of the big Toe. The Lancet, 356(9248), 2176–2179.

    Article  Google Scholar 

  • Ortner, D. J., & Putschar, W. G. J. (1985). Identification of pathological conditions in human skeletal remains. Washington: Smithsonian Institution Press.

    Google Scholar 

  • Papadopoulos, J. K. (2000). Skeletons in wells: Towards an archaeology of social exclusion in the ancient Greek word. In J. Hubert (Ed.), Madness, disability and social exclusion. The archaeology and anthropology of ‘Difference’ (pp. 96–118). London: Routledge.

    Google Scholar 

  • Parker, P. M. (2011). The archaeology of death and burial. Stroud: Sutton Publishing Limited.

    Google Scholar 

  • Piątkowski, W. (2008). Lecznictwo niemedyczne w Polsce. Tradycja i współczesność. Analiza zjawiska z perspektywy socjologii zdrowia i choroby. Lublin: Wydawnictwo UMCS.

    Google Scholar 

  • Pinto, M., & Safeekh, T. M. (2005). Psychotic symptoms in acromegaly. Indian Journal of Psychiatry, 47(1), 58–59.

    Article  Google Scholar 

  • Reicher, M. (1933). Niektóre cechy anatomiczne szczątków królewskich z Bazyliki Wileńskiej. Pamiętnik XIV Zjazdu Lekarzy i Przyrodników Polskich w Poznaniu 11-15 IX 1933, 1, 391–393.

    Google Scholar 

  • Robb, J. (2002). Time and biography: Osteobiography of the Italian neolithic lifespan. In Y. Hamilakis, M. Pluciennik, & S. Tarlow (Eds.), Thinking through the body: Archaeologies of corporeality (pp. 153–171). New York: Kluwer Academic/Plenum.

    Chapter  Google Scholar 

  • Robb, J. (2009). Towards a critical Ötziography: Inventing prehistoric bodies. In H. Lambert & M. McDonald (Eds.), Social bodies (pp. 100–127). New York: Berghahn Books.

    Google Scholar 

  • Roberts, C. A. (1999). Disability in the skeletal record: assumptions, problems and some examples. Archaeological Review from Cambridge, 15(2), 79–97.

    Google Scholar 

  • Roberts, C. A., & Manchester, K. (2010). The archaeology of disease. Stroud: The History Press.

    Google Scholar 

  • Rosado, M. A., & Vernacchio-Wilson, J. (2006). Paleopathology and osteobiography of the people of Peñuelas, Chile’s semiarid north. Memórias do Instituto Oswaldo Cruz, 101(Suppl. II), 85–95.

    Article  Google Scholar 

  • Rosiński, B. (1951). O szczątkach kostnych rodziców Fryderyka Chopina. Przegląd Antropologiczny, 17, 303–319.

    Google Scholar 

  • Santos, V. S., Santos de Matos, A. M., Alves de Oliviera, L. S., Dolce de Lemos, L. M., Gurgel, R. Q., Reis, F. P., et al. (2015). Clinical variables associated with disability in leprosy cases in Northeast Brazil. The Journal of Infection in Developing Countries, 9(3), 232–238.

    Google Scholar 

  • Saul, F. P. (1972). The human skeletal remains of Altar de Sacrificios: An osteobiographic analysis (Vol. 63(2)). Papers of the Peabody Museum of Archaeology and Ethnology. Cambridge, MA, Peabody Museum of Archaeology and Ethnology, Harvard University.

    Google Scholar 

  • Saul, F. P., & Saul, J. M. (1989). Osteobiography: A Maya example. In M. Y. Iscan & K. A. R. Kennedy (Eds.), Reconstruction of life from the skeleton (pp. 287–301). New York: Alan R. Liss.

    Google Scholar 

  • Shankar, V. V., & Kulkarni, R. R. (2011). Block vertebra: Fusion of axis with the third cervical vertebra – A case report. International Journal of Anatomical Variations, 4, 15–16.

    Google Scholar 

  • Shao, S., & Li, X. (2013). Clinical features and analysis in 1385 Chinese patients with pituitary adenomas. Journal of Neurosurgical Sciences, 57(3), 267–275.

    Google Scholar 

  • Sievers, C., Dimopoulou, C., Pfister, H., Lieb, R., Steffin, B., Roemmler, J., et al. (2009). Prevalence of mental disorders in acromegaly: A cross-sectional study in 81 acromegalic patients. Clinical Endocrinology, 71(5), 691–701.

    Article  Google Scholar 

  • Stodder, A. L. W., & Palkovich, A. M. (2012a). Osteobiography and bioarchaeology. In A. L. W. Stodder & A. M. Palkovich (Eds.), The bioarchaeology of individuals (pp. 1–8). Gainesville: University Press of Florida.

    Chapter  Google Scholar 

  • Stodder, A. L. W., & Palkovich, A. M. (2012b). The bioarchaeology of individuals. Gainesville: University Press of Florida.

    Book  Google Scholar 

  • Szcześniak, D., Jawiarczyk-Przybyłowska, A., & Rymaszewska, J. (2015). The quality of life and psychological, social and cognitive functioning of patients with acromegaly. Advances in Clinical and Experimental Medicine, 24(1), 167–172.

    Article  Google Scholar 

  • Szymczyk, B., Wąsowska, E., & Ziętek, A. (1977). Przypadek gigantyzmu we wczesnośredniowiecznym materiale szkieletowym z Ostrowa Lednickiego. Przegląd Antropologiczny, 43(2), 334.

    Google Scholar 

  • Tabaka, A. (2005). Domniemane miejsce targowe na Ostrowie Lednickim. Studia Lednickie, 8, 131–144.

    Google Scholar 

  • Talhari, C., Talhari, S., & Penna, G. O. (2015). Clinical aspects of leprosy. Clinics in Dermatology, 33, 26–37.

    Article  Google Scholar 

  • Talko-Hryncewicz J. (1914). Odtworzenie kilku typów postaci historycznych spoczywających na Wawelu. Rozprawy Wydziału Matematyczno-Przyrodniczego PAU, seria 3, dział B, 54, 105–139.

    Google Scholar 

  • Tilley, L., & Cameron, T. (2014). Introducing the Index of Care: A web-based application supporting archaeological research into health-related care. International Journal of Paleopathology, 6, 5–9.

    Article  Google Scholar 

  • Tilley, L., & Oxenham, M. F. (2011). Survival against the odds: Modeling the social implications of care provision to seriously disabled individuals. International Journal of Paleopathology, 1, 35–42.

    Article  Google Scholar 

  • Trojanowska, A., Drop, A., Trojanowski, P., Rosińska-Bogusiewicz, K., Klatka, J., & Bobek-Billewicz, B. (2012). External and middle ear diseases: Radiological diagnosis based on clinical signs and symptoms. Insights Imaging, 3(1), 33–48.

    Article  Google Scholar 

  • Udziela, M. (1891). Medycyna i przesądy lecznicze ludu polskiego/Przyczynek do etnografii polskiej. Wisła 7. Warszawa: Księgarnia M. Arcta.

    Google Scholar 

  • van Barkel, W. H., Sihombing, B., Djarir, H., Beise, K., Kusumawardhani, L., Yulihane, R., et al. (2012). Disability in people affected by leprosy: The role of impairment, activity, social participation, stigma and discrimination. Go Health Action, 5, 18394.

    Google Scholar 

  • WHO. (1988). Expert committee on leprosy, sixth report. World Health Organization Technical Report Series. 789.

    Google Scholar 

  • Wijayaratne, D. R., Arambewela, M. H., Dalugama, C., Wijesundera, D., Somasundaram, N., & Katulanda, P. (2015). Acromegaly presenting with low insulin-like growth factor-1 levels and diabetes: A case report. Journal of Medical Case Reports, 9(1), 241. doi:10.1186/s13256-015-0736-z.

    Article  Google Scholar 

  • Wrzesińscy, A. J. (1998a). Próba interpretacji struktury społecznej ludności na cmentarzysku. Doniesienie wstępne. Studia Lednickie, 5, 13–27.

    Google Scholar 

  • Wrzesińscy, A. J. (1998b). Odtworzenie stanu i dynamiki biologicznej ludności pochowanej na cmentarzysku wczesnośredniowiecznym Dziekanowice, stanowisko 22. Studia Lednickie, 5, 29–40.

    Google Scholar 

  • Wrzesińscy, A. J. (2010). Wyjątkowe kobiety–choroby w przeszłości. Wybrane przykłady. Nowiny Lekarskie, 2, 89–97.

    Google Scholar 

  • Wrzesińska, A. (1998). Charakterystyka urazów czaszki z cmentarzyska. Studia Lednickie, 5, 53–64.

    Google Scholar 

  • Wrzesiński, J. (2000). Odkrycie i stratygrafia w rejonie grobu 23/77 na Ostrowie Lednickim. Studia Lednickie, 6, 231–237.

    Google Scholar 

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Acknowledgements

We would like to thank Lorna Tilley and Alecia A. Schrenk for the invitation to contribute to this volume and their stimulating comments that helped to elaborate on many issues that are described in this chapter. We thank to anonymous reviewers for their comments, which contributed to the shape of this text, Harsha Vardhan Simhadri for consultation and criticism, and Jacek Wrzesiński for consultation and giving us access to the photographs of the woman with gigantism . This work was supported by the National Science Centre from Poland under grant UMO-2014/13/N/HS3/04602.

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Matczak, M.D., Kozłowski, T. (2017). Dealing with Difference: Using the Osteobiographies of a Woman with Leprosy and a Woman with Gigantism from Medieval Poland to Identify Practices of Care. In: Tilley, L., Schrenk, A. (eds) New Developments in the Bioarchaeology of Care. Bioarchaeology and Social Theory. Springer, Cham. https://doi.org/10.1007/978-3-319-39901-0_7

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